<div class="titulo" align="center">
	<br>
	Solicitar Licen&ccedil;a
</div>
<table width="90%" border="0" align="center">
        <tr>
			<td width="200"></td>
			<td>* Campos Obrigatorios</td><tr>
			<td><div align="justify">* Nome da M&aacute;quina</div></td>
			<td><input name="textfield2" type="text" id="label" maxlength="30" /></td>
        </tr>
        <tr>
          <td><div align="justify">* Endere&ccedil;o MAC</div></td>
          <td><input name="textfield2" type="text" id="label" maxlength="12" /></td>
        </tr>
        <tr>
          <td><div align="justify">IP</div></td>
          <td><input name="textfield2" type="text" id="label" maxlength="30" /></td>
        </tr>
        <tr>
          <td><div align="justify">Patrimonio</div></td>
          <td><input name="textfield2" type="text" id="label" maxlength="30" /></td>
        </tr>
        <tr>
          <td><div align="justify">Numero de Serie</div></td>
          <td><input name="textfield2" type="tex" id="label" maxlength="30" /></td>
        </tr>
        <tr>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td colspan="7" align="center">
		<div class="margin" align="center">
		<span class="botao"><a href="#" onclick="carregar('LicencasSolicitarConfirma');" >Solicitar</a></span>
	    <span class="botao"><a href="#" onclick="carregar('branco');" >Limpar</a></span>
	  </div>	</td>
        </tr>
</table>